Vendor Pre Application 2020

Your Name:*

First Last

Name of Company:*

Email:*

Enter Email Confirm Email

Phone:*

Location / State of Business*

Within CA
Out of State of CA

Which State do you operate your business?*

County of Origin:*

Please choose your County in California.

Operator License Type:*

Please select one type of license that is associated with your company. If you have multiple licenses, please submit a separate form for each license type.

Cultivation
Manufacturer
Retail
Distribution
Micro
Nursery
NOT a Cannabis company

Cannabis Operators License #*

Please provide your CA or other state license number.

Are you a previous Emerald Cup Vendor?*

Yes
No

Are you a previous Emerald Cup Winner?*

Yes
No

What types of products you will be vending?*

Please select the products that you will be vending.

Flowers
Concentrates
Edibles
Topicals
Sublinguals / Tinctures
Medicinal Vape Cartridges
Other...

Type of Product:*

Do you cultivate flower outdoors, greenhouse or indoors?*

Outdoor
Indoor
Mixed light
Greenhouse
Does not apply

Are you certified by a 3rd party or have the equivalent of an organic certification?*

Yes
No

Please provide the name of the company that you are certified by?*

limit 5 words

Type of Booth Requested:*

Please choose which type booth you are interested in having.

Describe Booth Type*

Limit it to 5 words

Company or Brand Website:*

Instagram account:

If available, please provide a link to your Instagram page.

Twitter account:

If available, please provide a link to your Twitter page.

Facebook account:

If available, please provide a link to your Facebook page.

Name

This field is for validation purposes and should be left unchanged.

2020 Vendor Interest Form

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